Yu gɛt bɛlɛ pen afta yu dɔn it? Yu tink se dis kin bi dɔmp sindrom?

Afta yu dɔn it, sɔntɛnde yu kin fil lɛk se yu ed de tɔn, yu kin ful-ɔp, ɔ yu bɛlɛ kin kramp? Sɔm pipul dɛn kin fil bak taya ɛn shek shek sɔm awa afta dɛn dɔn it. If yu gɛt dɛn sik ya, yu kin gɛt wan sik we dɛn kɔl dumping syndrome . Lɛ wi tɔk bɔt dis ditayli tide, bikɔs i kin afɛkt bɔku pipul dɛn.

Wetin na Dumping Syndrome?

Fɔ tɔk am simpul wan, dumping syndrome na we di it we de na yu bɛlɛ, ɔ fɔ se di tin dɛn we de insay yu bɛlɛ, muf go na yu smɔl intestinal, ɔ wetin wi kin kɔl yu smɔl intestin, fast pas aw i kin bi . Dɔktɔ dɛn kin kɔl dis bak ‘rapid gastric emptying’. Tink bɔt am lɛk se di it we de na yu bɛlɛ de "dɔmp" insay yu smɔl intestin insay wan big lump, bifo i go ebul fɔ dayjɛst fayn fayn wan.

So, we dis kin apin, bɔku it we yu nɔ digest kin pas na di smɔl intestin wan tɛm, yu kin gɛt prɔblɛm lɛk fɔ nɔs, blo, bɛlɛ kramp, ɛn dayarɛa . Nɔto dat nɔmɔ, bɔt i kin mek yu blɔd shuga chenj wantɛm wantɛm.

Wetin kin rili apin pan Dumping Syndrome?

Nɔmal wan, we wi de it, wi bɛlɛ kin sɛn it sloslo ɛn kɔntrol am to di smɔl intestinal. dis na di mכsul dεm, di nεv dεm, εn di כmon dεm we de na di bεlε de du am, we de wok togɛda. wi kכl dis "gastric motility."

Bɔt insay dɔmp sindrom, dis kɔdineshɔn nɔ kin go fayn. di valv we de dכn na di bכtכm, di pyloric valv , de opin bifo dεn ivin daygεst di it, εn dεn kin trowe di wan ol tin we de insay di bεlε insay di sכmכl intestin wan tεm.

Wetin kin apin da tɛm de? We di smɔl intestinal gɛt bɔku it we i nɔ digest wantɛm wantɛm, i kin tray fɔ ajɔst to am. I de pul ɛkstra wata ɛn pul ɛkstra ɔmon dɛn. Na dɛn chenj dɛn de kin mek wi nɔ fil fayn we wi bin dɔn tɔk bɔt jɔs afta wi dɔn it.

Sɔm pipul dɛn kin gɛt ɔda sayn dɛn afta sɔm awa afta dɛn dɔn it. Dis na bikɔs di shuga we de na di blɔd de chenj. We it we gɛt bɔku shuga hit di smɔl intestin wantɛm wantɛm, dɛn kin gi wi pankrias sayn fɔ pul mɔ insulin fɔ kɔntrol di blɔd shuga. Dis kin mek di blɔd shuga go dɔŋ wantɛm wantɛm. Dɛn kɔl dis riaktiv haypoglycemia . Dis kin mek tin dɛn lɛk diziz, shek shek, ɛn palpiteshɔn.

Udat kin gɛt mɔ sik we dɛn kɔl dump syndrome?

Bɔku tɛm, di dumping syndrome kin apin as kɔmplikeshɔn afta dɛn dɔn du ɔpreshɔn pan di bɛlɛ.Dɛn se bitwin 20% ɛn 50% pan di pipul dɛm wae dɔn gɛt ɔpreshɔn na dɛn bɛlɛ go gɛt dɛn sik ya to sɔm digri. Dis kin apin mɔ to pipul dɛn we dɛn dɔn du ɔpreshɔn we de pul bɔku pat pan dɛn bɛlɛ, lɛk fɔ pul ɔl di bɛlɛ ɔ sɔm pat pan di bɛlɛ) ɔ ɔpreshɔn we dɛn kin du fɔ mek dɛn nɔ gɛt bɔku bɔku bɔdi (we dɛn kin du ɔpreshɔn fɔ mek dɛn nɔ gɛt bɔku bɔku bɔdi we dɛn kin pul sɔm pat pan di bɛlɛ). Na sכm tεm, i kin kכz bak fכ sכm intestinal kכndyushכn dεm.

Yu tink se Dumping Syndrome na siriɔs sik?

Bɔku tɛm, di sik we dɛn kɔl dumping syndrome nɔ kin denja ɔ i kin mek pɔsin in layf de pan denja. Bɔt if di sik rili bad, i kin mek i nɔ gɛt bɔku bɔku bɔdi kwik kwik wan ɛn i nɔ kin gɛt bɛtɛ tin fɔ it. If dɛn nɔ kɔntrol di dayarɛa, i kin mek yu nɔ gɛt wata na yu bɔdi. Bɔt bɔku tɛm, dɛn kin ebul fɔ kɔntrol dɛn tin ya.

Bɔrku pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak wae kin go away as tɛm de go. Dumping syndrome nɔr kin ɔltɛm, so natin nɔr de fɔ wɔri bɔt.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt dɔmp?

Tu men stej dεm de fכ dump sεndrכm, wit sכmtεm dεm we de sho wit εvri stej. Yu kin gɛt ɛni wan pan dɛn stej ya ɔ ɔl tu.

Di simptom dɛm we kin kam wit di sik we pɔsin kin gɛt we i de dump kwik kwik wan

Dɛn tin ya kin bigin fɔ apin bitwin 10 ɛn 30 minit afta yu dɔn it .

• Vɔmit
• Fɔ vɔmit
• Dayarɛa (bɛlɛ de at) .
• Bɛlɛ de pen ɛn limp
• Bloating, bloated filin
• Diziz, we pɔsin kin fɔdɔm
• At rit we de go ɔp (we yu de fil lɛk se yu chɛst de bit) .

Let dump syndrome simptom dɛm wae kin apun sɔm awa afta yu it

Dɛn sayn ya kin apin tu to tri awa afta yu dɔn it .

• Wiknɛs, taya
• Fɔ de shek shek, fɔ nɔ rɛst
• At bit kwik kwik wan ɔ we nɔ de bit ɔltɛm
• Kol swet
• Di fes we de rɛd
• Bren fכg - na filin fכ difrεnt fכ tink klia wan
• Fɔ fil se i rili angri

Wetin na di tin dɛn we kin mek pɔsin gɛt di sik we dɛn kɔl dumping syndrome?

Tu men rizin dɛn de fɔ dis.

Rizin dɛn we gɛt fɔ du wit ɔpreshɔn:

• Gastrectomy: Na ɔpreshɔn fɔ pul wan pat ɔ ɔl di bɛlɛ.
• Bariatric ɔpreshɔn: Dɛn kin du ɔpreshɔn fɔ ridyus di wet, fɔ ɛgzampul, dɛn kin du ɔpreshɔn fɔ mek pɔsin nɔ gɛt bɔku bɔku bɔdi.
• Payloroplasti: Na ɔpreshɔn we dɛn kin du pan di paylɔrik valv we de dɔŋ di bɛlɛ.
• Esophagectomy: Na ɔpreshɔn fɔ pul wan pat ɔ ɔl di εsophagus.
• Vagotomy: Na ɔspitul we de kɔt di vagus nerve na di bɛlɛ fɔ ridyus di bɛlɛ asid.
• Nissen fundoplication: na כpεrayshכn fכ siw di כp pat pan di bεlε rawnd di εsophagus (dεn kin du am fכ gastroesophageal reflux disease - GERD).

Di tin dɛn we kin mek pɔsin gɛt sik:

Dumping syndrome kin kam bak bikɔs ɔf sɔm kayn mɛrɛsin.

• Dayabitis (Dayabetes Mɛlitɔs) .
• Sayklik vɔmit sindrom
• Ɔtonomik disfɔkshɔn
• Eksokrin pankrɛas insufisɛns
• Duodenal ɔlsa dɛn
• Zollinger-Ellison sindrom we gɛt di sik
• Dispepsia we de wok
• Cannabis hyperemesis syndrome ( wan kɔndishɔn we de mek pɔsin vɔmit pasmak bikɔs yu de yuz kanaba) .

Aw fɔ no di sik we dɛn kɔl dumping syndrome?

If yu dɔn du ɔpreshɔn pan yu bɛlɛ bifo tɛm (ivin if na sɔm ia bifo), yu dɔktɔ kin sɔprayz se yu gɛt dɔmp sindrom bay di sayn dɛm we yu de tɔk bɔt. Dɛn kin gi yu wan kwɛstyɔn, lɛk di Dumping Symptom Rating Scale , fɔ no aw yu sik bad bad wan.

Bɔt yu dɔktɔ kin du sɔm tɛst dɛn bak fɔ no if yu gɛt di sik ɔ fɔ no ɔda tin dɛn we kin mek yu gɛt di sik. Dɛn tɛst ya impɔtant mɔ if yu nɔ du ɔpreshɔn pan yu bɛlɛ.

Na sɔm tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt di sik we dɛn kɔl dumping syndrome:

• Oral glucose tolerance test: Dis na fɔ gi yu drink we gɛt shuga ɛn fɔ no di shuga we yu gɛt na yu blɔd bifo ɛn afta dat. Dɛn kin mɛzhɔ yu ɛmatokrit , we na di pasɛnt pan di rɛd blɔd sɛl dɛn bak. If yu hematocrit go ɔp afta yu dɔn drink di drink we gɛt shuga, dat min se dɛn de pul mɔ wata frɔm yu blɔd ɛn go insay yu insay. If yu blɔd shuga go dɔŋ insay wan to tri awa, dɛn kin kɔl dis dilayed dumping syndrome.
• Hydrogen breath test: Dis de mכsu bak di amount of haydrojen na yu brith afta yu drink glucose solution. Haydrojen we de na yu briz min se yu smɔl intestin nɔ de tek glukɔs fayn fayn wan. Dis min se di smɔl intestinal de ɔva lod.
• di כp εndoskopi: Dis na fכ put wan tin, fleksibul tכb (εndoskop) wit kεmεra we dεn tay tru di mכt εn fכ egzamin insay di εsophagus, bεlε, εn duodenum (di fכs pat pan di sכmכl intestin). Dis kin ɛp fɔ no if prɔblɛm de wit strɔkchɔ ɔ ɔda tin dɛn we kin mek yu gɛt di sik.
• Ɔpa GI siriɔs:insay dis, dεn gi yu spεshal likwid (kכntrast sכlushכn) fכ drink, εn dεn de yuz wan siriכs vidio εks-ray (dεn kכl am `fluoroscopy`) fכ wach am as i de muv tru yu εsophagus, bεlε, εn כp sכm intestin. Dis kin mek yu si aw fast di wata de muv.
• Gastric emptying test: Dis de sho aw di it de ɛmti kwik kwik wan na yu bɛlɛ. Dɛn kin ad smɔl smɔl redioaktiv tin to di it we yu de it. Dɔn, yu dɔktɔ kin yuz spɛshal skan mashin fɔ wach aw di it de muv tru yu bɛlɛ.

Aw fɔ pul di sik we dɛn kɔl dumping syndrome?

Bɔku pipul dɛn kin ebul fɔ kɔntrol di sik we dɛn kɔl dumping syndrome fayn fayn wan bay we dɛn de chenj dɛn it . Fɔ di bad bad sayn dɛm, if it nɔmɔ nɔ ɛp, dɛn kin yuz mɛrɛsin. Bɔt di mɛrɛsin kin gɛt bad bad tin dɛn, so i nɔ kin fayn fɔ yuz am fɔ lɔng tɛm. Sɔntɛnde, if na ɔpreshɔn we dɛn du di dump syndrome ɛn no ɔda tritmɛnt nɔ ɛp, yu dɔktɔ kin tɛl yu fɔ du ɔda ɔpreshɔn.

Di tin dɛn we dɛn kin yuz fɔ it

Dɔktɔ dɛn kin se yu fɔ fala dɛn advays ya fɔ mek yu nɔ gɛt bɔku sik dɛn:

• Ridyus di it we yu de it wan tɛm ɛn inkrisayz di nɔmba fɔ di it dɛn we yu de it ɔl di de. Bifo yu it tri big it dɛn, tray fɔ it siks smɔl it dɛn.
• It yu it sloslo ɛn chew am fayn fayn wan. Dis go mek i izi fɔ digest.
• Ridyus yu it simpul shuga, it dɛn we gɛt bɔku kabɔd, ɛn tin dɛn we dɛn mek wit milk as yu ebul. Dɛn tin ya go ɛp fɔ mek di blɔd shuga nɔ chenj wantɛm wantɛm. Kɔmpleks kabɔd, lɛk ɔl gren, bɛtɛ.
• Ridyus di kabɔhaydrɛt frɔm yu it ɛn ad mɔ prɔtin ɛn wɛlbɔdi fat insted. di fεt dεm de slo fכ digεst εn i de gi wan stεdi sכsכs fכ εnεji.
• It mɔ it dɛn we gɛt bɔku fayv we yu de it. dis de ad bכku pan di it, we de mek i slo fכ muv tru di intestכn dεm. Fayba de kɔntrol bak di we aw di shuga de tek am.
• Ledɔm (rayt) fɔ lɛk 30 minit afta yu dɔn it. Dis kin mek di it nɔ ɛmti na di bɛlɛ sloslo ɛn ɛp fɔ mek di blɔd prɛshɔn kɔntinyu we i de digest.
• Nɔ drink wata ɔ ɔda drink 30 minit bifo yu it ɔ afta yu it. Liquid dεm de mek di bεlε muv.

Di mɛrɛsin dɛn we dɛn kin yuz

Sɔm mɛrɛsin kin ɛp fɔ kɔntrol di fɔs ɛn let simptom dɛm fɔ dump syndrome.

• Ɔktriɔtayd asɛtat: .כktriotayd de blכk di akshכn fכ sכm כmon dεm na wi dijestiv sistεm. dis de mek di it dכn ɛmti frכm di bεlε εn di it de muv tru di sכmכl intestכn. I de mek bak di insulin we dɛn de mek nɔ bɔku. Dɛn kin gi dis mɛrɛsin as injɛkshɔn, ɛvride (shɔt-akt) ɔ ɛvri mɔnt (lɔng-akt).
• Akabɔz: Dis mɛrɛsin de slo di rit we wi bɔdi de tek di kabɔhaydrɛt, ɛn i de kɔntrol di shuga we de na di blɔd. Dɛn dɔn sho se i de ridyus di haypoglycemia we kin apin pan let dɔmp sindrom.

Ɔpreshɔn

Dɛn nɔ kin advays fɔ du ɔpreshɔn fɔ di sik we dɛn kɔl dumping syndrome. Bɔt if na ɔpreshɔn mek yu sik, ɔda ɔpreshɔn go ebul fɔ kɔrɛkt am. If di sik we dɛn kɔl dumping syndrome de afɛkt yu kwaliti layf bad bad wan ɛn nɔr ɔda tin nɔr de woke, yu kin tink bɔt fɔ du ɔpreshɔn fɔ mek yu bɔdi fayn bak. Dis min se:

• Fɔ mek bak ɔ chenj wan pat pan di bɛlɛ we nɔ de wok fayn.
• Rivεs כpεrayshכn lεk gastric bypass כ swich to opshכn we nכ de invayv.

Yu tink se di sik we dɛn kɔl dumping syndrome go dɔn kpatakpata?

Yɛs, bɔku tɛm i kin go as tɛm de go. Mild early dumping syndrome kin dɔn insay lɛk tri mɔnt. Mɔr siriɔs kes ɛn let-onset dumping syndrome kin tek 12 to 18 mɔnt fɔ sɔlv. Insay dis tɛm, we yu chenj di it we yu de it, dat kin mek yu gɛt bɔku rilif. Bɔt, i kin tek sɔm wiks fɔ si se i go bɛtɛ. So i impɔtant fɔ peshɛnt.

Us it dɛn yu fɔ it ɛn us it dɛn yu fɔ avɔyd we yu gɛt dump syndrome?

I rili impɔtant fɔ mek pipul dɛn we gɛt dis sik, mɔ afta dɛn dɔn du ɔpreshɔn pan dɛn bɛlɛ, fɔ fala wan it plan we go ɛp fɔ kɔntrol di sik dɛn. Di pɔynt dɛm we wi bin dɔn tɔk bɔt ɔnda "Dietary Changes" de aplay ya bak:

• Tin dɛn fɔ it: Fɔ it we gɛt bɔku prɔtin (fish, chukchuk, eg, lentil), fayn fayn fat (avokado, nɛt), kɔmpleks kabɔhaydrɛt we gɛt fayv (brawn rays, ɔts, vɛjitebul).
• Tin dɛn we yu fɔ avɔyd ɔ stɔp: Simpul shuga (drin we dɛn dɔn swit, swit, kek), kabɔhaydrɛt we dɛn dɔn rifin bad bad wan (tin dɛn we dɛn mek wit bred flawa), milk ɛn dairy prodakt (sɔm pipul dɛn kin si am se i nɔ izi fɔ dayjɛst), it dɛn we gɛt bɔku fat, we dɛn dɔn frɛsh.

I bɛtɛ fɔ tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt it fɔ mek yu plan fɔ it we go fayn fɔ yu.

Fɔ dɔn, mɛsej we yu kin kɛr go na os:

Dumping syndrome na wan sik wae bɔrku pipul kin gɛt afta dɛn dɔn du ɔpreshɔn pan dɛn bɛlɛ. Yu kin gɛt dɛn sik ya bak afta dɛn dɔn du yu ɔpreshɔn. Di gud nyus na dat, bɔrku tɛm, i nɔr kin gɛt bɛtɛ sik ɛn i go sɔlv fɔ insɛf insay sɔm wik ɔr mɔnt.Insay da tɛm de, yu kin kɔntrol dis sik fayn fayn wan bay we yu ajɔst di tin dɛn we yu de it fayn fayn wan.

If yu go gɛt ɔpreshɔn na yu bɛlɛ tumara bambay, i go fayn fɔ mek yu plan fɔ it tin we fayn fɔ di sik we dɛn kɔl dumping syndrome. Pripia di kichin ɛn gɛt sɔm it plan dɛn na yu maynd. If yu dɔn chenj di tin dɛn we yu de it ɛn dɛn nɔ de mek yu fil fayn, mek shɔ se yu go to yu dɔktɔ. I kin gi yu di mɛrɛsin dɛn we yu nid fɔ ɛp yu we yu de wɛl. So, di tin we impɔtant pas ɔl na fɔ nɔ panik, fɔ tɛl yu, ɛn tek di step dɛn we yu nid.

Dumping Syndrome, Bɛlɛ, Smɔl Intestinal, Ɔpreshɔn, Dijeshɔn, Simptom dɛm